- Sharp HealthCare (San Diego, CA)
- …virtually, and conducts physician, hospital and/or ancillary meetings, as necessary.Ensures provider network meets all regulatory and accreditation requirements ... orientation/training and other resources to educate providers and key provider staff on Plan products, processes, and contract...to ensure the Plan maintains a compliant and adequate provider network . + Network DevelopmentEvaluates… more
- HCA Healthcare (Campbell, CA)
- …drafting, reviewing and getting approval from the President of SCCIPA, any Network Provider or ancillary provider contract and its terms. Any deviation ... each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today...(DOFR). This role is responsible for drafting and maintaining Network Provider agreements, at the direction of… more
- Molina Healthcare (Long Beach, CA)
- …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans...EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 2 - 4 years provider contract support or negotiation experience in… more
- NBC Universal (Universal City, CA)
- …to be completed during 2025. This is a Versant role. Responsibilities: The role of Contract Specialist is part of a team responsible for providing business and ... News, MSNBC, CNBC, NBC Sports, Telemundo, NBC Local Stations, Bravo, USA Network , and Peacock, our premium ad-supported streaming service. We produce and distribute… more
- San Diego Community College District (San Diego, CA)
- …Details (Default Section) Closing Date: 09/02/2025 Open Until Filled No Classification Title Network Specialist Working Title Network Specialist ... to succeed are encouraged to apply. Applications are currently being accepted for Network Specialist in the Technology Services Department, located at San Diego… more
- Dignity Health (Rancho Cordova, CA)
- …operational leaders on credentialing related issues and potential credentialing related provider contract terminations. The Credentialing Specialist ... and network management functions. Manages and has access to provider Protected Personal Information (PPI) and Protected Health Information (PHI) and maintains… more
- MetroLink (Los Angeles, CA)
- …provided by Delta Dental. Under the DeltaCare (HMO) program, you must select a contract dentist within their network to perform your dental services. If you ... with the Americans with Disabilities Act, the Authority will provide reasonable accommodations to qualified individuals with disabilities and...require treatment from a specialist , your contract dentist will handle the… more
- Elevance Health (Costa Mesa, CA)
- **Outreach Care Specialist ** A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior ... is granted as required by law. The **Outreach Care Specialist ** is responsible for supporting our **EMPOWER program** ....members and their families in forming a supportive, recovery network . + Acts as a resource for staff on… more
- Dignity Health (Bakersfield, CA)
- …SAS - Previous experience working directly with healthcare providers or within a provider network setting - Masters in Business, Healthcare Administration, or ... **Responsibilities** The Claims Research Specialist will oversee and manage research efforts related...Perform an analysis of the claims processing by reviewing contract , system configuration, benefits, financial risk (DOFRs), and manual… more
- AECOM (Sacramento, CA)
- …and provide problem resolution under the direction of the Contract Manager. + Coordinating with legal, finance, and other departments ensuring compliance ... Join us. **Job Description** **AECOM** is seeking a **Procurement Specialist ** to work **remotely** . However, the client is...will best satisfy the requirement. Determines the type of contract best suited to the requirement, developed by the… more